Amahlule Egazi

-Delile

• Isifinyezo
• Kuyini ukuhlangana kwegazi?
• Ubani osengozini yamahlule egazi?
• Ziyini izimpawu zamahlule egazi?
• Atholakala kanjani amahlule egazi?
• Yiziphi izindlela zokwelapha amahlule egazi?
• Ngabe amahlule egazi angavikeleka?

Isifinyezo

Kuyini ukuhlangana kwegazi?

Ihlule legazi liyisisindo segazi elenzeka lapho amaplatelets, amaprotheni namaseli egazini enamathela ndawonye. Uma ulimala, umzimba wakho wakhe igazi ukuze umise ukopha. Ngemuva kokuphuma kokopha nokuphulukiswa kwenzeka, umzimba wakho uvame ukwehla ususe ihlule legazi. Kodwa kwesinye isikhathi amahlule egazi akha lapho kungafanele khona, umzimba wakho wenza amahlule amaningi egazi noma amahlule egazi angajwayelekile, noma amahlule egazi awonakali njengoba kufanele. La mahlule egazi angaba yingozi futhi angadala ezinye izinkinga zempilo.

Amahlule egazi angangena, noma ahambele, emithanjeni yegazi ezithweni, emaphashini, ebuchosheni, enhliziyweni nasezinso. Izinhlobo zezinkinga amahlule egazi angadala kuzoya ngokuthi zikuphi:

• I-deep vein thrombosis (i-DVT) ihlule egazini emthanjeni ojulile, imvamisa emlenzeni, ethangeni, noma okhalweni. Ingavimba umthambo futhi idale umonakalo emlenzeni wakho.
• I-embolism ye-pulmonary ingenzeka lapho i-DVT iphuka futhi ihamba ngegazi iye emaphashini. Kungalimaza amaphaphu akho futhi kuvimbele ezinye izitho zakho ekutholeni i-oxygen eyanele.
• I-Cerebral venous sinus thrombosis (i-CVST) iyi-clot yegazi engajwayelekile ezonweni ezinobuthi ebuchosheni bakho. Imvamisa izono ezinemithambo yegazi zikhipha igazi ebuchosheni bakho. I-CVST ivimba igazi ukuthi lingakhiphi futhi ingadala isifo sohlangothi.
• Amahlule egazi kwezinye izingxenye zomzimba angadala izinkinga ezinjenge-ischemic stroke, isifo senhliziyo, izinkinga zezinso, ukwehluleka kwezinso, nezinkinga ezihlobene nokukhulelwa.

Ubani osengozini yamahlule egazi?

Izici ezithile zingakhuphula ubungozi bamahlule egazi:

• I-atherosclerosis
• I-Atrial fibrillation
• Ukwelashwa komdlavuza nomdlavuza
• Izinkinga ezithile zofuzo
• Ukuhlinzwa okuthile
• i-COVID-19
• Isifo sikashukela
• Umlando womndeni wamahlule egazi
• Ukukhuluphala ngokweqile nokukhuluphala ngokweqile
• Ukukhulelwa nokubeletha
• Ukulimala kanzima
• Eminye imithi, kufaka phakathi amaphilisi okuvimbela inzalo
• Ukubhema
• Ukuhlala endaweni eyodwa isikhathi eside, njengokuhlala esibhedlela noma ukuthatha imoto ende noma ukuhamba ngendiza

Ziyini izimpawu zamahlule egazi?

Izimpawu zamahlule egazi zingahluka, kuya ngokuthi ikephi ihlule legazi:

• Esiswini: Ubuhlungu besisu, isicanucanu nokuhlanza
• Engalweni noma emlenzeni: Ubuhlungu obungazelelwe noma obuhamba kancane, ukuvuvukala, isisa, nokufudumala
• Emaphashini: Ukuphefumula okuncane, ubuhlungu ngokuphefumula okujulile, ukuphefumula okusheshayo, nokukhuphuka kwenhliziyo
• Ebuchosheni: Ukukhuluma ngokunenkinga, izinkinga zokubona, ukuquleka, ubuthakathaka ohlangothini olulodwa lomzimba, nekhanda elibuhlungu elivele ngokuzuma
• Enhliziyweni: Ubuhlungu besifuba, ukujuluka, ukuphefumula okuncane, nobuhlungu engalweni yangakwesobunxele

Atholakala kanjani amahlule egazi?

Umhlinzeki wakho wezokunakekelwa kwempilo angasebenzisa amathuluzi amaningi ukuthola amahlule egazi:

• Ukuhlolwa ngokomzimba
• Umlando wezokwelapha
• Ukuhlolwa kwegazi, kufaka phakathi ukuhlolwa kwe-D-dimer
• Ukulingisa ukuhlolwa, okufana ne-
  • I-Ultrasound
  • Ama-X-ray emithanjeni (venography) noma imithambo yegazi (angiography) ethathwa ngemuva kokuthola umjovo wedayi okhethekile. Idayi ivela ku-x-ray futhi ivumela umhlinzeki ukuthi abone ukuthi igazi lihamba kanjani.
  • I-CT Scan

Yiziphi izindlela zokwelapha amahlule egazi?

Ukwelashwa kwamahlule egazi kuncike ekutheni iqanda legazi likuphi nokuthi liqine kangakanani. Ukwelashwa kungafaka

• Abanciphisa igazi
• Eminye imithi, kufaka phakathi i-thrombolytics. I-Thrombolytics yimithi eqeda amahlule egazi. Imvamisa zisetshenziswa lapho amahlule egazi abucayi khona.
• Ukuhlinzwa nezinye izinqubo zokususa amahlule egazi

Ngabe amahlule egazi angavikeleka?

Ungahle ukwazi ukusiza ukuvimbela amahlule egazi ngu

• Ukuhambahamba ngokushesha ngangokunokwenzeka ngemuva kokuvalelwa embhedeni wakho, njengasemuva kokuhlinzwa, ukugula noma ukulimala
• Ukuvuka uzulazule njalo emahoreni ambalwa lapho kufanele uhlale isikhathi eside, isibonelo uma usohambeni olude noma uhambo lwemoto
• Ukuvivinya umzimba njalo
• Ukungabhemi
• Ukuhlala esisindweni esinempilo

Abanye abantu abasengozini enkulu bangadinga ukuthatha izinciphisi zegazi ukuvimbela amahlule egazi.